Client Satisfaction 2018 Question Title * 1. Gender/Género Male/Masculino Female/Hembra Question Title * 2. Age/Edad 18-24 25-44 45-54 55-59 60-64 65+ Question Title * 3. Race/Raza Black or African American/Afroamericano Asian/Asiático Caucasian/Caucásico American Indian/Asiático Bi-Racial/ Bi Racial Hispanic/Hispano Other/Otra Other (please specify) Question Title * 4. County of Residence/Condado de residencia Antelope Burt Cedar Cuming Dakota Dixon Dodge Knox Madison Pierce Saunders Stanton Thurston Washington Wayne Question Title * 5. Which NENCAP office did you come to seeking help?/Oficina que llegó a pedir ayuda? Pender Norfolk South Sioux City Fremont Creighton Other (please specify) Question Title * 6. Family Type/Tipo de familia: Single Person/Soltero Two Parent Family/Dos padres de familia Single Female Parent/Madre Soltera Single Male Parent/Padre Soltero 2+ Adults (no dependent children)/2 + adultos (sin niños dependientes) Other/Otra Other (please specify)/Otra Question Title * 7. Number of Household Members/Número de miembros de la familia: 1 2-3 4-6 7-10 11 or more Question Title * 8. Number of Children in Household/Número de Niños en Casa: 0 1 2-3 4-6 7-10 11 or more Question Title * 9. Household Income/Ingreso: Less than $10,000/Menos de $10,000 $10-20,000 $20-30,000 $30-40,000 $40-50,000 $50,000+ Question Title * 10. Which of the following media channels do you prefer to learn about community programs and services?Cuál de los siguientes canales de los medios de comunicación prefiere conocer los servicios y programas comunitarios? Flyers in Public Places/Folletos en lugares públicos Newspaper/Periódico Mail/Correo E-mail/Correo-electrónico Website/Sitio Web Facebook Other (please specify)/Otra Question Title * 11. What programs did you access?¿Qué programas accede? Car Seat/Asiento de coche SOAR Weatherization/Climatización Rent Assistance/Alquile asistencia EDN WIC Utility Assistance Affordable Care Act Health Insurance Navigator Healthy Families SSVF Tax Assistance/asistencia de impuesto Immunizations/Vacunas Commodities Food Pantries/Productos de alimentos Early Head Start Head Start Other/Otra Question Title * 12. Overall how would you rate the quality of services you received?General ¿Cómo calificaría la calidad de los servicios que usted recibió? Excellent/Excelente Good/Bueno Fair/Justo Poor/Pobre Other (please specify)/Otra Question Title * 13. Were you treated with dignity and respect by NENCAP staff?Fueron tratados con dignidad y respeto por el personal de NENCAP? Yes/Si No Other (please specify)/Otra Question Title * 14. Were location hours of office and clinic operation convenient to meet your needs?Fue el local y el horario de la oficina y clínica conveniente para satisfacer sus necesidades? Yes/Si No Other (please specify)/Otra Question Title * 15. Did Staff perform a thorough assessment of your situation and give you information on other NENCAP programs that may be helpful?El personal si hiso una evaluación exhaustiva de su situación y le dieron información sobre otros programas NENCAP que pueden ser útil? Yes/Si No Other (please specify) Question Title * 16. Did Staff give you information on helpful programs and services outside of NENCAP, including contact information?El personal si le dio información sobre programas de ayuda y servicios fuera de NENCAP, incluyendo información de contacto? Yes/Si No Other (please specify)/Otra Question Title * 17. How would you rate the Staff's overall knowledge of the program?¿Cómo calificaría el conocimiento general del personal del programa? Excellent/Excelente Good/Bueno Fair/Justo Poor/Pobre Other (please specify)/Otra Question Title * 18. Based on the services the program could provide, were your needs met?Basado en los servicios que el programa podría proporcionar, sus necesidades se cumplieron? Entirely/Totalmente Mostly/Casi todo A few/Algunos None/Ninguno Other (please specify)/Otra Question Title * 19. Were your phone calls and /or messages returned in a timely manner?Fueron sus llamadas telefónicas o mensajes devueltos a tiempo y forma? Yes/Si No Other (please specify) Question Title * 20. Would you recommend NENCAP to a friend or relative?Recomendaría NENCAP a un amigo o pariente? Yes/Si No Other (please specify)/Otra Question Title * 21. Do you feel your situation has improved due to the help of NENCAP?¿Siente que su situación ha mejorado debido a la ayuda de NENCAP? Yes/Si No Other (please specify)/Otra Question Title * 22. What type of services could you and your family benefit from that are not currently offered through NENCAP?¿Qué tipo de servicios puede usted y su familia beneficiar, que no actualmente ofrecen a través de NENCAP? Question Title * 23. Comments or suggestions for improving services received by NENCAP:Comentarios o sugerencias para mejorar los servicios recibidos por NENCAP: Done
